Back pain symptoms are the most common cause of disability in those around 45 years of age. Low back pain is one of the common discomforts, patients visit the doctors with and it is found in most of the people at some point in their lives.
The pain-sensitive parts of the spine are the periosteum of the vertebrae, dura, facet joints, epidural veins and arteries , annulus fibrosus and the longitudinal ligaments. Based on the type of pain and its location, the part which is compromised can be ascertained. The pain due to changes in these diverse pain-sensitive structures does not include nerve root compression.
Caused of back pain ?
The most common causes of back pain are radiculopathy, tumor, fracture, infection or referred pain from visceral structures
What are the symptoms of Back pain ?
When the back pain is localised , it can be due to injury to any of the pain-sensitive structures and accordingly the site of the pain is considered to be near the affected part of the back
Whenever the back pain is of spine origin, it should be located either in the back or referred to the buttocks or legs. If the upper lumbar spine is affected due to diseases, the pain is felt in the groin, lumbar region or front of the thighs. And when lower lumbar spine is diseased, the pain is referred to the buttocks, back of the thighs, calves or feet.
The pain may also develop from the abdominal or pelvic organs or viscera, such a pain is referred to the back , usually unaffected by posture.
Radicular pain or Radiculopathy arises as a sharp, burning or electric pain , travelling from the low back to a leg based on the particular nerve root compression. This pain is usually felt on coughing, sneezing or lifting heavy objects and straining at stool. Radicular pain may increase in certain postures that could stretch the nerves and nerve roots.
How is back pain diagnosed ?
The reason for back pain is done by the physical examination of the back . Muscle spasm, asymmetry in spine curvatures can be known by inspection and palpation of the spine structure. The palpation of the abdomen can confirm the involvement of the visceral structures(pancreatitis,pyelonephritis).
Straight leg-raising (SLR) maneuver is a simple bedside test to confirm the nerve root disease. SLR, Crossed SLR and Reverse SLR are done by the physician in the clinic or bedside.
What are the lab tests for back pain?
Laboratory investigations may not be required in all the patients for the initial 3 months of suffering. CBC, ESR, Urine analysis are required when there are risk factors associated such as infection, tumor or fracture.
CT-scan is superior to X-rays for the in depth analysis. An MRI is another investigation method if the patient is not claustrophobic.
Who are prone to Low back pain?
The risk factors which are considered important for causing structural effect responsible for back pain are : HIstory of injury, pain worse at rest or at night, Chronic medicinal usage, urinary incontinence, Age more than 50 years, history of chronic infection. The examination reveals unexplained fever, weight loss, abdominal, rectal or pelvic mass, SLR signs positive.
What is the best treatment for back pain, low back-pain?
Homeopathy has the best treatment for complaints of the lumbar spine inclusive of low back pain. The homeopathic medicines act specifically on the spine structure by relieving pain and soothing the nerve damage. The pain-sensitive structures are acted upon by constitutional homeopathic treatment , thereby chronic pains are relieved and their recurrence is stopped effectively
The doctors at Positive Homeopathy Clinics have gained reputation in providing complete treatment of Back pain, Sciatica, Nerve root compression, Disc herniation and disc compression. The medicines dispensed are of high quality and most of the results are obtained without external applications and without causing any side-effects.